Instrument Variable Name: SSTYPE2
Question Text:

(book) F15
* Enter all that apply, separate with commas. You mentioned that [fill1: you have/ALIAS has] a single-service plan - that is, an insurance plan that provides one specific type of coverage. What type of service or care does [fill2: your/ALIAS's] single service plan or plans pay for?

01 Accidents
02 AIDS care
03 Cancer treatment
04 Catastrophic care
05 Dental care
06 Disability insurance
07 Hospice care
08 Hospitalization only
09 Long-term care
10 Prescriptions
11 Vision care
12 Other (specify)
97 Refused
99 Don't know

Universe Text All persons with single service plans
Skip Instructions:

(1-11,R,D) [repeat for all eligible persons, then go to FHICCI6]
(12) [go to SSOTHER]

Instrument Variable Name: SSOTHER
Question Text:

* Other type of single-service plan

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with an "other" single service plan
Skip Instructions:

go to SSTYPE2 for the next person with a single service plan; else, go to FHICCI6

Instrument Variable Name: SSTYPE2
Question Text:

(book) F15
* Enter all that apply, separate with commas. You mentioned that [fill1: you have/ALIAS has] a single-service plan - that is, an insurance plan that provides one specific type of coverage. What type of service or care does [fill2: your/ALIAS's] single service plan or plans pay for?

01 Accidents
02 AIDS care
03 Cancer treatment
04 Catastrophic care
05 Dental care
06 Disability insurance
07 Hospice care
08 Hospitalization only
09 Long-term care
10 Prescriptions
11 Vision care
12 Other (specify)
97 Refused
99 Don't know

Universe Text All persons with single service plans
Skip Instructions:

(1-11,R,D) [repeat for all eligible persons, then go to FHICCI6]
(12) [go to SSOTHER]

Instrument Variable Name: SSOTHER
Question Text:

* Other type of single-service plan

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with an "other" single service plan
Skip Instructions:

go to SSTYPE2 for the next person with a single service plan; else, go to FHICCI6

Instrument Variable Name: SSTYPE2
Question Text:

(book) F15
* Enter all that apply, separate with commas. You mentioned that [fill1: you have/ALIAS has] a single-service plan - that is, an insurance plan that provides one specific type of coverage. What type of service or care does [fill2: your/ALIAS's] single service plan or plans pay for?

01 Accidents
02 AIDS care
03 Cancer treatment
04 Catastrophic care
05 Dental care
06 Disability insurance
07 Hospice care
08 Hospitalization only
09 Long-term care
10 Prescriptions
11 Vision care
12 Other (specify)
97 Refused
99 Don't know

Universe Text All persons with single service plans
Skip Instructions:

(1-11,R,D) [repeat for all eligible persons, then go to FHICCI6]
(12) [go to SSOTHER]

Instrument Variable Name: SSOTHER
Question Text:

* Other type of single-service plan

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with an "other" single service plan
Skip Instructions:

go to SSTYPE2 for the next person with a single service plan; else, go to FHICCI6

Instrument Variable Name: SSTYPE2
Question Text:

(book) F15
* Enter all that apply, separate with commas. You mentioned that [fill1: you have/ALIAS has] a single-service plan - that is, an insurance plan that provides one specific type of coverage. What type of service or care does [fill2: your/ALIAS's] single service plan or plans pay for?

01 Accidents
02 AIDS care
03 Cancer treatment
04 Catastrophic care
05 Dental care
06 Disability insurance
07 Hospice care
08 Hospitalization only
09 Long-term care
10 Prescriptions
11 Vision care
12 Other (specify)
97 Refused
99 Don't know

Universe Text All persons with single service plans
Skip Instructions:

(1-11,R,D) [repeat for all eligible persons, then go to FHICCI6]
(12) [go to SSOTHER]

Instrument Variable Name: SSOTHER
Question Text:

* Other type of single-service plan

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with an "other" single service plan
Skip Instructions:

go to SSTYPE2 for the next person with a single service plan; else, go to FHICCI6

Instrument Variable Name: SSTYPE2
Question Text:

(book) F15
* Enter all that apply, separate with commas. You mentioned that [fill1: you have/ALIAS has] a single-service plan - that is, an insurance plan that provides one specific type of coverage. What type of service or care does [fill2: your/ALIAS's] single service plan or plans pay for?

01 Accidents
02 AIDS care
03 Cancer treatment
04 Catastrophic care
05 Dental care
06 Disability insurance
07 Hospice care
08 Hospitalization only
09 Long-term care
10 Prescriptions
11 Vision care
12 Other (specify)
97 Refused
99 Don't know

Universe Text All persons with single service plans
Skip Instructions:

(1-11,R,D) [repeat for all eligible persons, then go to FHICCI6]
(12) [go to SSOTHER]

Instrument Variable Name: SSOTHER
Question Text:

* Other type of single-service plan

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with an "other" single service plan
Skip Instructions:

go to SSTYPE2 for the next person with a single service plan; else, go to FHICCI6

Instrument Variable Name: SSTYPE2
Question Text:

(book) F15
* Enter all that apply, separate with commas. You mentioned that [fill1: you have/ALIAS has] a single-service plan - that is, an insurance plan that provides one specific type of coverage. What type of service or care does [fill2: your/ALIAS's] single service plan or plans pay for?

01 Accidents
02 AIDS care
03 Cancer treatment
04 Catastrophic care
05 Dental care
06 Disability insurance
07 Hospice care
08 Hospitalization only
09 Long-term care
10 Prescriptions
11 Vision care
12 Other (specify)
97 Refused
99 Don't know

Universe Text All persons with single service plans
Skip Instructions:

(1-11,R,D) [repeat for all eligible persons, then go to FHICCI6]
(12) [go to SSOTHER]

Instrument Variable Name: SSOTHER
Question Text:

* Other type of single-service plan

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with an "other" single service plan
Skip Instructions:

go to SSTYPE2 for the next person with a single service plan; else, go to FHICCI6

Instrument Variable Name: SSTYPE2
Question Text:

(book) F15
* Enter all that apply, separate with commas. You mentioned that [fill1: you have/ALIAS has] a single-service plan - that is, an insurance plan that provides one specific type of coverage. What type of service or care does [fill2: your/ALIAS's] single service plan or plans pay for?

01 Accidents
02 AIDS care
03 Cancer treatment
04 Catastrophic care
05 Dental care
06 Disability insurance
07 Hospice care
08 Hospitalization only
09 Long-term care
10 Prescriptions
11 Vision care
12 Other (specify)
97 Refused
99 Don't know

Universe Text All persons with single service plans
Skip Instructions:

(1-11,R,D) [repeat for all eligible persons, then go to FHICCI6]
(12) [go to SSOTHER]

Instrument Variable Name: SSOTHER
Question Text:

* Other type of single-service plan

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with an "other" single service plan
Skip Instructions:

go to SSTYPE2 for the next person with a single service plan; else, go to FHICCI6

Instrument Variable Name: SSTYPE2
Question Text:

(book) F15
* Enter all that apply, separate with commas. You mentioned that [fill1: you have/ALIAS has] a single-service plan - that is, an insurance plan that provides one specific type of coverage. What type of service or care does [fill2: your/ALIAS's] single service plan or plans pay for?

01 Accidents
02 AIDS care
03 Cancer treatment
04 Catastrophic care
05 Dental care
06 Disability insurance
07 Hospice care
08 Hospitalization only
09 Long-term care
10 Prescriptions
11 Vision care
12 Other (specify)
97 Refused
99 Don't know

Universe Text All persons with single service plans
Skip Instructions:

(1-11,R,D) [repeat for all eligible persons, then go to FHICCI6]
(12) [go to SSOTHER]

Instrument Variable Name: SSTYPE2
Question Text:

(book) F15
* Enter all that apply, separate with commas. You mentioned that [fill1: you have/ALIAS has] a single-service plan - that is, an insurance plan that provides one specific type of coverage. What type of service or care does [fill2: your/ALIAS's] single service plan or plans pay for?

01 Accidents
02 AIDS care
03 Cancer treatment
04 Catastrophic care
05 Dental care
06 Disability insurance
07 Hospice care
08 Hospitalization only
09 Long-term care
10 Prescriptions
11 Vision care
12 Other (specify)
97 Refused
99 Don't know

Universe Text All persons with single service plans
Skip Instructions:

(1-11,R,D) [repeat for all eligible persons, then go to FHICCI6]
(12) [go to SSOTHER]

Instrument Variable Name: SSOTHER
Question Text:

* Other type of single-service plan

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with an "other" single service plan
Skip Instructions:

go to SSTYPE2 for the next person with a single service plan; else, go to FHICCI6

Instrument Variable Name: SSTYPE2
Question Text:

(book) F15
* Enter all that apply, separate with commas. You mentioned that [fill1: you have/ALIAS has] a single-service plan - that is, an insurance plan that provides one specific type of coverage. What type of service or care does [fill2: your/ALIAS's] single service plan or plans pay for?

01 Accidents
02 AIDS care
03 Cancer treatment
04 Catastrophic care
05 Dental care
06 Disability insurance
07 Hospice care
08 Hospitalization only
09 Long-term care
10 Prescriptions
11 Vision care
12 Other (specify)
97 Refused
99 Don't know

Universe Text All persons with single service plans
Skip Instructions:

(1-11,R,D) [repeat for all eligible persons, then go to FHICCI6]
(12) [go to SSOTHER]

Instrument Variable Name: SSOTHER
Question Text:

* Other type of single-service plan

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with an "other" single service plan
Skip Instructions:

go to SSTYPE2 for the next person with a single service plan; else, go to FHICCI6

Instrument Variable Name: SSTYPE2
Question Text:

(book) F15
* Enter all that apply, separate with commas. You mentioned that [fill1: you have/ALIAS has] a single-service plan - that is, an insurance plan that provides one specific type of coverage. What type of service or care does [fill2: your/ALIAS's] single service plan or plans pay for?

01 Accidents
02 AIDS care
03 Cancer treatment
04 Catastrophic care
05 Dental care
06 Disability insurance
07 Hospice care
08 Hospitalization only
09 Long-term care
10 Prescriptions
11 Vision care
12 Other (specify)
97 Refused
99 Don't know

Universe Text All persons with single service plans
Skip Instructions:

(1-11,R,D) [repeat for all eligible persons, then go to FHICCI6]
(12) [go to SSOTHER]

Instrument Variable Name: SSOTHER
Question Text:

* Other type of single-service plan

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with an "other" single service plan
Skip Instructions:

go to SSTYPE2 for the next person with a single service plan; else, go to FHICCI6

Instrument Variable Name: SSTYPE2
Question Text:

(book) F15
* Enter all that apply, separate with commas. You mentioned that [fill1: you have/ALIAS has] a single-service plan - that is, an insurance plan that provides one specific type of coverage. What type of service or care does [fill2: your/ALIAS's] single service plan or plans pay for?

01 Accidents
02 AIDS care
03 Cancer treatment
04 Catastrophic care
05 Dental care
06 Disability insurance
07 Hospice care
08 Hospitalization only
09 Long-term care
10 Prescriptions
11 Vision care
12 Other (specify)
97 Refused
99 Don't know

Universe Text All persons with single service plans
Skip Instructions:

(1-11,R,D) [repeat for all eligible persons, then go to FHICCI6]
(12) [go to SSOTHER]

Instrument Variable Name: SSOTHER
Question Text:

* Other type of single-service plan

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with an "other" single service plan
Skip Instructions:

go to SSTYPE2 for the next person with a single service plan; else, go to FHICCI6

Instrument Variable Name: SSTYPE2
Question Text:

(book) F15
* Enter all that apply, separate with commas. You mentioned that [fill1: you have/ALIAS has] a single-service plan - that is, an insurance plan that provides one specific type of coverage. What type of service or care does [fill2: your/ALIAS's] single service plan or plans pay for?

01 Accidents
02 AIDS care
03 Cancer treatment
04 Catastrophic care
05 Dental care
06 Disability insurance
07 Hospice care
08 Hospitalization only
09 Long-term care
10 Prescriptions
11 Vision care
12 Other (specify)
97 Refused
99 Don't know

Universe Text All persons with single service plans
Skip Instructions:

(1-11,R,D) [repeat for all eligible persons, then go to FHICCI6]
(12) [go to SSOTHER]

Instrument Variable Name: SSOTHER
Question Text:

* Other type of single-service plan

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with an "other" single service plan
Skip Instructions:

go to SSTYPE2 for the next person with a single service plan; else, go to FHICCI6

Instrument Variable Name: SSTYPE2
Question Text:

(book) F15
* Enter all that apply, separate with commas. You mentioned that [fill1: you have/ALIAS has] a single-service plan - that is, an insurance plan that provides one specific type of coverage. What type of service or care does [fill2: your/ALIAS's] single service plan or plans pay for?

01 Accidents
02 AIDS care
03 Cancer treatment
04 Catastrophic care
05 Dental care
06 Disability insurance
07 Hospice care
08 Hospitalization only
09 Long-term care
10 Prescriptions
11 Vision care
12 Other (specify)
97 Refused
99 Don't know

Universe Text All persons with single service plans
Skip Instructions:

(1-11,R,D) [repeat for all eligible persons, then go to FHICCI6]
(12) [go to SSOTHER]

Instrument Variable Name: SSOTHER
Question Text:

* Other type of single-service plan

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with an "other" single service plan
Skip Instructions:

go to SSTYPE2 for the next person with a single service plan; else, go to FHICCI6

Instrument Variable Name: SSTYPE2
Question Text:

(book) F15
* Enter all that apply, separate with commas. You mentioned that [fill1: you have/ALIAS has] a single-service plan - that is, an insurance plan that provides one specific type of coverage. What type of service or care does [fill2: your/ALIAS's] single service plan or plans pay for?

01 Accidents
02 AIDS care
03 Cancer treatment
04 Catastrophic care
05 Dental care
06 Disability insurance
07 Hospice care
08 Hospitalization only
09 Long-term care
10 Prescriptions
11 Vision care
12 Other (specify)
97 Refused
99 Don't know

Universe Text All persons with single service plans
Skip Instructions:

(1-11,R,D) [repeat for all eligible persons, then go to FHICCI6]
(12) [go to SSOTHER]

Instrument Variable Name: SSOTHER
Question Text:

* Other type of single-service plan

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with an "other" single service plan
Skip Instructions:

go to SSTYPE2 for the next person with a single service plan; else, go to FHICCI6

FR: SHOW CARD F12.

What type of service or care do {your/subject name} single service plan or plans pay for? (Mark all that apply)

1. Accidents
2. AIDS care
3. Cancer treatment
4. Catastrophic care
5. Dental care
6. Disability insurance (cash payments when unable to work for health reasons)
7. Hospice care
8. Hospitalization only
9. Long-term care (nursing home care)
10. Prescriptions
11. Vision care
12. Other

(1) Accidents
(2) AIDS care
(3) Cancer treatment
(4) Catastrophic care
(5) Dental care
(6) Disability Insurance (cash payments when unable to work for health reasons)
(7) Hospice care
(8) Hospitalization only
(9) Long-term care (nursing home care)
(10) Prescriptions
(11) Vision care
(12) Other (FHI.157)
(97) Refused
(99) Don't know

(Go to Check Item FHICCI5)

FR: SHOW CARD F12.

What type of service or care do {your/subject name} single service plan or plans pay for? (Mark all that apply)

1. Accidents
2. AIDS care
3. Cancer treatment
4. Catastrophic care
5. Dental care
6. Disability insurance (cash payments when unable to work for health reasons)
7. Hospice care
8. Hospitalization only
9. Long-term care (nursing home care)
10. Prescriptions
11. Vision care
12. Other

(1) Accidents
(2) AIDS care
(3) Cancer treatment
(4) Catastrophic care
(5) Dental care
(6) Disability Insurance (cash payments when unable to work for health reasons)
(7) Hospice care
(8) Hospitalization only
(9) Long-term care (nursing home care)
(10) Prescriptions
(11) Vision care
(12) Other (FHI.157)
(97) Refused
(99) Don't know

(Go to Check Item FHICCI5)

FR: SHOW CARD F12.

What type of service or care do {your/subject name} single service plan or plans pay for? (Mark all that apply)

1. Accidents
2. AIDS care
3. Cancer treatment
4. Catastrophic care
5. Dental care
6. Disability insurance (cash payments when unable to work for health reasons)
7. Hospice care
8. Hospitalization only
9. Long-term care (nursing home care)
10. Prescriptions
11. Vision care
12. Other

(1) Accidents
(2) AIDS care
(3) Cancer treatment
(4) Catastrophic care
(5) Dental care
(6) Disability Insurance (cash payments when unable to work for health reasons)
(7) Hospice care
(8) Hospitalization only
(9) Long-term care (nursing home care)
(10) Prescriptions
(11) Vision care
(12) Other (FHI.157)
(97) Refused
(99) Don't know

(Go to Check Item FHICCI5)

FR: SHOW CARD F12.

What type of service or care do {your/subject name} single service plan or plans pay for? (Mark all that apply)

1. Accidents
2. AIDS care
3. Cancer treatment
4. Catastrophic care
5. Dental care
6. Disability insurance (cash payments when unable to work for health reasons)
7. Hospice care
8. Hospitalization only
9. Long-term care (nursing home care)
10. Prescriptions
11. Vision care
12. Other

(1) Accidents
(2) AIDS care
(3) Cancer treatment
(4) Catastrophic care
(5) Dental care
(6) Disability Insurance (cash payments when unable to work for health reasons)
(7) Hospice care
(8) Hospitalization only
(9) Long-term care (nursing home care)
(10) Prescriptions
(11) Vision care
(12) Other (FHI.157)
(97) Refused
(99) Don't know

(Go to Check Item FHICCI5)

FR: SHOW CARD F12.

What type of service or care do {your/subject name} single service plan or plans pay for? (Mark all that apply)

1. Accidents
2. AIDS care
3. Cancer treatment
4. Catastrophic care
5. Dental care
6. Disability insurance (cash payments when unable to work for health reasons)
7. Hospice care
8. Hospitalization only
9. Long-term care (nursing home care)
10. Prescriptions
11. Vision care
12. Other

(1) Accidents
(2) AIDS care
(3) Cancer treatment
(4) Catastrophic care
(5) Dental care
(6) Disability Insurance (cash payments when unable to work for health reasons)
(7) Hospice care
(8) Hospitalization only
(9) Long-term care (nursing home care)
(10) Prescriptions
(11) Vision care
(12) Other (FHI.157)
(97) Refused
(99) Don't know

(Go to Check Item FHICCI5)